Complaint Investigation Report

R1’s preplacement appraisal indicates R1 is diabetic but does not need help with eating.

Incident report submitted to CCL states that the Medication Technician (MT) observed R1 going to the bathroom, followed R1 to assist at around 5:05 pm on 10/15/2023. When the MT observed R1 looking pale, MT called a caregiver to assist. R1 passed out, staff then called 911 and performed CPR.

The Department’s investigation concludes that there was no indication of lack of supervision. Staff were present and obtained immediate medical care. Autopsy was performed on R1 to determine the cause of death.

R1’s death certificate recorded Asphyxia, choking on food bolus as the cause of death, manner of death as accident and time of death is 1705 hours. Autopsy was performed on R1 to determine the cause of death.

Based on record reviews conducted, the above allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

There is no deficiency noted for this visit.